Antlers Manor LLC

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 4981870649 Enrollment ID O20210401000810

Facilities by state

  • OK1

Details

Linked facilitiesFacilities
1

25 parties: 11 organizations · 14 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Candy Shell5193203818IndividualOperational/Managerial Control
Shannon Ray2466930185IndividualOperational/Managerial Control; ADP of the SNF
Misty Harjo1759704455IndividualOperational/Managerial Control
Ester Dickinson4284112905IndividualOperational/Managerial Control
Melton Ben3375021090IndividualOperational/Managerial Control
Teddy R Rowland3274547534IndividualOperational/Managerial Control; ADP of the SNF
Bgm Estate LLC6608159512Organization5% or Greater Direct Ownership Interest; ADP of the SNF50
Gilbert Green Family Investments LLC0446421895Organization5% or Greater Direct Ownership Interest; ADP of the SNF50
Philip Marion Green Exempt Tr Cu Gilbert F Green Tr9739554858Organization5% or Greater Indirect Ownership Interest18.35
Tiffany Seay Exempt Tr3971039264Organization5% or Greater Indirect Ownership Interest15.2
Angela Tabor9234197146Individual5% or Greater Indirect Ownership Interest; ADP of the SNF12.5
Kelly Mitchell9032190400Individual5% or Greater Indirect Ownership Interest; ADP of the SNF12.5
Marcinda Mitchell0143288050Individual5% or Greater Indirect Ownership Interest; ADP of the SNF12.5
Robert Mitchell0749245447Individual5% or Greater Indirect Ownership Interest; ADP of the SNF12.5
Philip M. Green Revocable Trust6507088903Organization5% or Greater Indirect Ownership Interest5.55
Tiffany Seay8628485943Individual5% or Greater Indirect Ownership Interest; ADP of the SNF5.55
Jaci Pitts4385171883IndividualCorporate Officer
Miranda Belt5294262796IndividualCorporate Officer
Sandra Taylor4981879004IndividualCorporate Officer
Mobile Wound Care LLC4486028685OrganizationADP of the SNF
Pharmcareok of Durant Inc7517129786OrganizationADP of the SNF
Advanced Wound Therapy5890168447OrganizationADP of the SNF
Ns Group Consulting Division5092292888OrganizationADP of the SNF
Stein Ancillary Services, LLC1153374046OrganizationADP of the SNF
Forvis Mazars LLP7416866603OrganizationADP of the SNF

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Antlers Manor
Antlers Manor LLC
36 residents
Other disclo…
2.87Ovr☆☆☆☆Stf★★★★Ins☆☆☆☆QM★★★☆☆36
  • Antlers Manor LLC
    Other disclosed role36 res2.87 HPRD
    Overall 1Staffing Staff 4

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
12/29/2020Antlers ManorAntlers Manor LLCCity of HugoBuyer
  1. 12/29/2020
    City of HugoAntlers Manor LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Antlers Manor LLC in FEC filings. Similar names may appear—confirm on FEC.gov.